心理干预对腹部手术病人应激反应影响的研究

目的]调查腹部手术病人的焦虑水平及应对方式，对病人的应激反应进行心理干预并分析其对病人应激反应的影响。方法]采用自行设计的一般情况调查表、状态一特质焦虑问卷对80例病人在术前进行问卷调查，监测并比较对照组和实验组病人术前、术后的心率和血压，测定术后疼痛程度、下床时问及排气时间等恢复相关指标。结果]心理护理后两组病人术前焦虑程度比较有统计学意义（P〈0．05），两组病人心率、血压水平比较无统计学意义（P〉0．05），试验组术后疼痛显著低于对照组（P〈0．05），术后首次下床活动时间和首次肠道排气时间也显著提前（P〈0．01）。结论]病人处于不同程度的焦虑状态，干预措施有助于病人缓解和控制住院及手术所引起的应激，能够有效地降低术前的焦虑水平，协助病人顺利度过手术及术后早期的恢复。

Study on influence of psychological intervention on stress reactions of patients undergoing operation on abdominal region

Objective：To investigate the anxiety degree and coping style of patients accepted abdominal operation, psychological interventions were carried out on stress reactions of patients and its influence on stress reaction were analyzed. Methods： A total of 80 patients were investigated by filling out selfdesigned general state of health questionnaire and state - trait anxiety inventory （S- TAD. Both preoperative and postoperative heart rate and blood pressure of control and experimental group patients have been monitored and compared with each other. And indexes of the postoperative pain degree, the time of off- bed and air evacuating time of all cases were detected. Results：There was statistical significant difference in terms of the preoperative anxiety degree between the two groups after psychological nursing （P（0.05）. There were no statistical significant differences in terms of heart rate and blood pressure of patients between the two groups （P〈0. 05）. The postoperative pain of experimental group patients was lower than that of control group patients （P〈（0. 05）. The first time of postoperative off- bed for activity and the first time of intestines evacuating of patients in experimental group were ahead of schedule sig- nificantly （P〈0. 01）. Conclusion. Patients undergoing abdominal operation are in different anxiety state. Intervention measures are helpful to relieve and control stress reactions induced by hospitalization and operation foe them. And it can effectively reduce their preoperative anxiety level, and assist patients to finish early postoperative recovery successfully.